DMCRUZ’S MAR [15-10]:“Boss, thank you po”

MEDICAL ANECDOTAL REPORT
Indexing Title: DMCRUZ’S MAR [15-10]
MAR Title: “Boss, thank you po”
Date of Medical Observation: November 2015
Tag: Admiring the skills and qualities of our outgoing Chief Resident
Category: Professional/ Ethical – Reinforcement

Narration:

It was the first day of November and it so happened that our team was on duty. Knowing that the Operating Room Complex was closed due to a leak of the oxygen piping system, we were a bit anticipatory of a benign duty. But this was only short-lived because during the morning endorsement rounds, one patient caught our attention. A case of a 33-year-old male who was previously admitted due to acute pancreatitis but was later diagnosed with a case of ileo-ileal and jejuno-jejunal intussusception.  Hearing this, our chief suddenly asked why the patient is not being transferred yet. One of my co-first year resident replied that she had been trying the whole night to coordinate the transfer but nobody wanted to accept while the other institutions could not be contacted. With a look of discontent, our chief asked me to do direct rectal examination (DRE) to the said patient and asking at the same time “collapsed ‘no?” To which I replied “yes, sir.”  He then added, “tingnan mo, bloody yan” (look at your gloved finger later on; it would contain blood).  I was surprised that when I pulled my finger out, indeed there was a bloody mucoid discharge on my examining finger.  Right away he called for immediate transfer.  This alerted all the residents not knowing whom to call until suddenly, our chief’s voice overpowered everyone.  Seemingly he was referring our patient to someone, after which, he said “okay na transfer to PGH (Philippine General Hospital).”

INSIGHT:
(Physical, Professional/Ethical, Psychosocial)
(Discovery, Stimulus, Reinforcement)

As a person, Dr. Abad is soft-spoken, humble, composed and a jolly one. Meanwhile as a surgeon, his knowledge of the craft is unquestionable. How he deals with patients and emergencies, I really admire most, especially his ability to think and decide in an instant. He is a detail-oriented and a conscientious surgeon, especially with regards to patients’ well-being. Lastly, as a leader, our chief leads but works as part of our team. He will always ask us if we have problems. Whenever we commit mistakes or errors, he will always look at the positive side of it. Thus, encouraging us to learn from our mistakes and strive to be better. His keen eye would often anticipate complications on patients especially if they are not managed properly. He makes us realize that there should always be a sense of urgency because life is always at stake. He practically bears the position of being our chief resident with calmness and moral aptitude.   Silently, I applaud our Chief saying, “Ang galing!” I should have those qualities someday.  I believe that our department will give birth to excellent surgeons given the opportunity to train with or under a Chief with knowledge, skills, dedication and other qualities of the like. I am proud and thankful to be a part of this department and gladly would like to congratulate Dr. Abad for a job well done and thank him…saying “Boss, thank you po” (Sir, thank you).

 

ROJoson’s Notes (17jan20):

A MAR with the same theme (admiration 0f senior resident) was written before:

https://medicalanecdotalreportsvol1.wordpress.com/2013/10/16/spsiapnos-mar-12-10-a-senior-worthy-of-emulation

Admiration of good qualities of a senior or chief resident hopefully to be followed by emulation by the younger residents! This should be part of the teaching-learning process in any department of surgery.

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